Establishing normal values of central venous pressure in very low birth weight infants

Inglis, Garry Donald Trevor, Dunster, Kimble Robert and Davies, Mark William (2007) Establishing normal values of central venous pressure in very low birth weight infants. Physiological Measurement, 28 10: 1283-1291. doi:10.1088/0967-3334/28/10/012


Author Inglis, Garry Donald Trevor
Dunster, Kimble Robert
Davies, Mark William
Title Establishing normal values of central venous pressure in very low birth weight infants
Journal name Physiological Measurement   Check publisher's open access policy
ISSN 0967-3334
Publication date 2007-10
Sub-type Article (original research)
DOI 10.1088/0967-3334/28/10/012
Volume 28
Issue 10
Start page 1283
End page 1291
Total pages 9
Editor R. Bayford
Place of publication U.K.
Publisher Institute of Physics Publishing
Collection year 2008
Language eng
Subject 321019 Paediatrics
C1
730204 Child health
Abstract The objective of this paper is to establish a reference range of central venous pressure (CVP) values during the first 4 days of life in very low birth weight (VLBW) infants. A prospective observational study with continuous monitoring of CVP in VLBW newborns who had an umbilical venous catheter (UVC) positioned in or near the right atrium is conducted. All UVCs were inserted as part of normal care of the infants. The mean CVP (mCVP) was monitored for 72 h from recruitment, or until the UVC was removed. The mean mCVP was calculated for each infant. The median of the mean mCVPs was then calculated. Data were analysed in 17 infants. The median gestational age was 27 weeks and median birth weight was 940 g. Sixteen were mechanically ventilated and of these, six also received continuous positive airway pressure (CPAP) during the study period. One infant received no respiratory support. One infant died during the study period. The lowest mean mCVP was 2.8 mmHg and the highest was 13.9 mmHg. The median mean mCVP was 4.9 mmHg (interquartile range 4.4–6.1). The normal range of CVP in VLBW infants during the first 4 days of life is wider than previously suggested.
Keyword central venous pressure
infant
newborn
monitoring
physiologic
reference values
catheterization
central venous
umbilical veins
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2008 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Thu, 24 Apr 2008, 14:10:26 EST by Sarah Elliott on behalf of Paediatrics & Child Health - RBWH